Organization
OLSHANETSKIY AND GOUTOS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG OLSHANETSKIY D.O. (OWNER)
(718) 244-1644
Entity
Organization
Contact information
Practice address
326 7TH ST, BROOKLYN, NY 11215-3311
(877) 275-3370
(631) 231-3331
Mailing address
PO BOX 14008, HAUPPAUGE, NY 11788-0774
(631) 231-0300
(631) 231-3331
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
08/05/2008
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